
<form method="post" enctype="text/plain">
<table>
<tr>
	<td>Name:</td>
	<td><input type="text" size="25" name="Name" id="Name" /></td>
</tr>
<tr>
	<td>Phone Number:</td>
	<td><input type="text" size="25" name="Phone number" id="pn" /></td>
</tr>
<tr>
	<td>Email:</td>
	<td><input type="text" size="25" name="email" id="email" /></td>
</tr>
<tr>
	<td>Car Make:</td>
	<td><input type="text" size="25" name="Car Make" id="Car Make" /></td>
</tr>
<tr>
	<td>Car Model:</td>
	<td><input type="text" size="25" name="Car Model" id="Car Model" /></td>
</tr>
<tr>
	<td>Car Color:</td>
	<td><input type="text" size="25" name="Car Color" id="Car Color" /></td>
</tr>
<tr>
	<td>Car Year:</td>
	<td><input type="text" size="4" name="Car Year" id="Car Year" /></td>
</tr>
<tr>
	<td>Brief Description of Mods:</td>
	<td><textarea cols="35" rows="5" wrap="PHYSICAL" maxlength="255" name="BDOM" id="BDOM"></textarea></td>
</tr>
<tr>
	<td>Brief Description of your ownership:</td>
	<td><textarea cols="35" rows="5" wrap="PHYSICAL" maxlength="255" name="BDOO" id="BDOO"></textarea></td>
</tr>
</table>
</form>